Repeat laparoscopic paraaortic lymphadenectomy for an isolated lymph node recurrence in a patient with stage IB2 cervical cancer

J Minim Invasive Gynecol. 2009 Nov-Dec;16(6):781-4. doi: 10.1016/j.jmig.2009.07.015.

Abstract

We report a case of repeat laparoscopic paraaortic lymphadenectomy (LPAL) after surgery and concurrent chemoradiation of cervical cancer, FIGO stage IB2. Twelve months after the initial treatment, F-18 fluoro-deoxyglucose-positron emission tomography-computed tomography showed an isolated paraaortic lymph node recurrence in a 49-year-old woman. The lymph nodes were successfully removed in a repeat LPAL. The patient received 3 cycles of combination chemotherapy and showed a complete clinical recovery. Repeat LPAL is thus a feasible and effective procedure to remove and confirm of an isolated paraaortic lymph node recurrence after previous surgery and chemoradiation for treating cervical cancer.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma, Squamous Cell / secondary*
  • Carcinoma, Squamous Cell / surgery
  • Female
  • Humans
  • Laparoscopy / methods*
  • Lymph Node Excision / methods*
  • Lymphatic Metastasis
  • Middle Aged
  • Neoplasm Staging
  • Sentinel Lymph Node Biopsy
  • Uterine Cervical Neoplasms / pathology*